MAGDALENE HELENE DANZER-MALINOWSKI (M.S.) – Clinical Psychologist, NPI 1003586587

MAGDALENE HELENE DANZER-MALINOWSKI (M.S.) is a healthcare provider. based in Glendale, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials M.S.. They hold a License No. 5163-57 (WI). The NPI Number for MAGDALENE HELENE DANZER-MALINOWSKI (M.S.) is 1003586587

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)
NPI
1003586587
Phone
(414) 962-6764
Address
5555 N PORT WASHINGTON RD STE 300
Enumeration Date
16 September 2021
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144752788
Graduation Year
2023 (3 years ago)
PAC ID
2860836459
Group Practice PAC ID
8224296454
Professional Enrollment ID
I20240222001999
Address ID
WI532143167WE1205XSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)

  • 5555 N PORT WASHINGTON RD STE 300

    GLENDALE, WI 532174928

    Phone: (414) 962-6764

    Type: Mailing

  • 6233 39TH AVE

    KENOSHA, WI 531427015

    Phone: (262) 652-1004

    Type: Mailing

  • 1205 S 70TH ST

    STE 301

    WEST ALLIS, WI 532143167

    Phone: (414) 475-2788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240222001999IClinical PsychologistWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224296454View full group profile
NameSpecialtyState
Mental Health CounselorWI
-WI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerWI
-WI
Nurse PractitionerWI
-WI
Nurse PractitionerWA
Clinical PsychologistWI

Reviews

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Frequently asked questions

Does MAGDALENE HELENE DANZER-MALINOWSKI (M.S.) have a public NPI I can cite?
Public records show MAGDALENE HELENE DANZER-MALINOWSKI (M.S.) under NPI 1003586587.
Is MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)'s NPI status active today?
Active status means MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)'s NPI record is not deactivated in the public file.
What services align with MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)'s listing?
MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)?
MAGDALENE HELENE DANZER-MALINOWSKI (M.S.) is associated with Glendale, Wisconsin in the same public data insurers reference.
Can I export MAGDALENE HELENE DANZER-MALINOWSKI (M.S.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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